DR. CANDACE REBECCA SCRUGGS D.D.S.
NPI 1679771547
Dentist - Oral and Maxillofacial Surgery in Camillus, NY

Q: What is Candace Scruggs's NPI number?

The NPI number for Candace Scruggs is 1679771547. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Q: What is Candace Scruggs's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Candace Scruggs was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2007PECOS Enrolled

5109 W GENESEE ST STE 101, CAMILLUS, NY 13031(315) 487-2668(315) 487-8661 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Candace Rebecca Scruggs D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CANDACE REBECCA SCRUGGS D.D.S. (NPI 1679771547) is an individual oral and maxillofacial surgery provider in Camillus, New York, licensed in New York (055584) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1679771547

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameDR. CANDACE REBECCA SCRUGGSCredential: D.D.S.

Location Address5109 W GENESEE ST STE 101Camillus, NY 13031-2372

Mailing Address4000 Medical Center Drive, Suite B13Fayetteville, NY 13066 · (315) 637-4476 · Fax (315) 637-1261

Phone(315) 487-2668

Fax(315) 487-8661

Sole ProprietorNo

Enumeration DateJuly 3, 2007

Last NPPES UpdateMarch 20, 2024

NPPES CertifiedMarch 19, 2024

✔ NPI 1679771547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in NY · 055584

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 4347 (SC)

5109 W GENESEE ST STE 101, Camillus, NY 13031

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Secondary Practice Location 1

Location 14000 Medical Center Drive, Suite B13Fayetteville, NY 13066 · Phone (315) 637-4476 · Fax (315) 637-1261

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Candace Rebecca Scruggs D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Candace Scruggs's NPI number?

The NPI number for Candace Scruggs is 1679771547. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Candace Scruggs located?

Candace Scruggs practices at 5109 W Genesee St Ste 101, Camillus, NY 13031. The listed phone number is (315) 487-2668.

What is Candace Scruggs's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Candace Scruggs enrolled in Medicare?

Yes. Candace Scruggs is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Candace Scruggs was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.